Contract Pharmacy Details

WALGREEN CO.
RWII29115 HOPEHEALTH, INC.

Covered Entity Details

Entity Name

HOPEHEALTH, INC.

Subdivision Name

Edisto

Type

Ryan White Part B

340B ID

RWII29115

Entity Address

1857 Joe S. Jeffords Highway
Orangeburg, SC 29115

Grant Number

X07HA00038

Participating Start Date

9/22/2008

Last Recertification Date

2/20/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07399
423 W MAIN ST
LEXINGTON, SC 29072-2637

Pharmacy Comments

Contract Details

Approval Date

10/4/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/14/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Roshan McDaniel, SC ADAP Director
(803) 898-0703

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/4/2016

340B Drug Pricing Program Database